Tamara Jean Petrazzi, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031310-1 Issued in NY

Practice address

98 Cuttermill Rd
Suite 100
Great Neck, NY 11021-3006

Phone

(516) 466-4118

Fax

(516) 466-2856

NPI assigned

Jul 22, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physiologic Physical Therapy PC

  • Physical Therapist
  • Great Neck, NY
  • NPI 1356325799
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1649400805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CUTTERMILL RD",
            "address_2": "SUITE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213006",
            "telephone_number": "516-466-4118",
            "fax_number": "516-466-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CUTTERMILL RD",
            "address_2": "SUITE 100",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213006",
            "telephone_number": "516-466-4118",
            "fax_number": "516-466-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAZZI",
        "first_name": "TAMARA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031310-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Patetsios MD PC
• Darnell David Peters, DPT
• Elizabeth Peters, M.S.ED., BCBA,LBA
• Lauren B Peterson, ED.M.
• Elena Nicole Petkanas
• Ashley Marie Petrillo
• Denise Petrizzi, NP
• Patricia Pezzello, MD
• Selena Phan, DPT
• Pharmacena LLC

• Physical Therapist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.